Registration

Summer Discount in Effect for this session!
REFER A FRIEND (they must sign up) AND RECEIVE A FREE HIP SCARF FOR YOU AND YOUR FRIEND!

Registration is available by completing one of the four steps below and securing payment to be guaranteed a spot in our classes!

1. Registering and payment online below
2. Registering and payment via telephone with a credit card
3. Downloading our Info Package / Registration Form and faxing it
4. By stopping in the studio to obtain a registration form

Telephone: 905 297-7555
Fax: 905 529-9696

Pay with Paypal

Student Information

First & Last Name:

E-mail Address:

Telephone Number(s):

Full Mailing Address:

DOB: (yyyy/mm/dd)

How did you find Luscious Belly Studios?
Google / Search Engine Advertisement Link on A Site Yellow Pages Word of Mouth Hamilton Spectator CHTV Other (please specify)
Other:

Classes Attending

SPECIAL EVENTS
Henna with Holly - Sat June 7 at 12:00 - 2:30pm $40:
Tribal with Valizan - Sat June 14 at 11:30 - 3:00pm $45:
Introductory Teaser Class - Thurs June 26 at 7:00 - 7:30pm $10:

BEGINNER I
Bellydance Beginner I Tuesday at 6:00pm:
Bellydance Beginner I Wednesday at 7:00pm:
Bellydance Beginner I Thursday at 7:00pm:

BEGINNER II
Bellydance Beginner II Wednesday at 6:00pm:

INTERMEDIATE LEVELS
Bellydance Intermediate I Tuesday at 8:00pm:

ADVANCED LEVELS
Bellydance Advanced Levels Tuesday at 7:00pm:

BELLYDANCE CARDIO
Bellydance Cardio Thursday at 7:00pm:

Registration Package Purchasing:
Teaser Class - $10 Workshop Price - $40 or $45 9 classes ($15.00/class) - $135 + GST = $141.75 10 classes ($14.00/class) - $140 + GST = $147.00 12 classes ($13.00/class) - $156 + GST = $163.80 14 classes ($12.00/class) - $168 + GST = $176.40 16 classes ($11.00/class) - $176 + GST = $184.40 18 classes ($10.00/class) - $180 + GST = $189.00

Payment Will Made By:
Credit Card Via Telephone Paypal Online (Credit Cards Accepted) Stopping by the Studio

Did you refer a friend or did someone refer you?
Please type in their full name here.

Waiver and Release
On your first night of classes, you will need to sign and date our Release & Waiver Form. I agree:

Do you have any health related issues or
previous injuries that we should know about?

Questions or comments?:

Confirmation of Registration
Payment must be received before June 30th, 2008 to confirm a spot in our classes.

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